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ADULT – Commentary|Articles in Press

Commentary: A Tale of Two Operations

Published:October 19, 2022DOI:https://doi.org/10.1053/j.semtcvs.2022.10.006
      Ultra-hybrid repair of thoracoabdominal aortic aneurysms provides satisfactory results in this high-risk population, however, traditional open repair remains the gold standard.
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      References

        • Vivacqua A
        • Idrees JJ
        • Johnston DR
        • et al.
        Thoracic endovascular repair first for extensive aortic disease: The staged hybrid approach.
        Eur J Cardiothorac Surg. 2016; 49: 764-769https://doi.org/10.1093/ejcts/ezv274
        • Bischoff MS
        • Brenner RM
        • Scheumann J
        • et al.
        Staged approach for spinal cord protection in hybrid thoracoabdominal aortic aneurysm repair.
        Ann Cardiothorac Surg. 2012; 1: 325-328https://doi.org/10.3978/j.issn.2225-319X.2012.06.03
        • Geisbüsch S
        • Stefanovic A
        • Koruth JS
        • et al.
        Endovascular coil embolization of segmental arteries prevents paraplegia after subsequent thoracoabdominal aneurysm repair: An experimental model.
        J Thorac Cardiovasc Surg. 2014; 147: 220-226https://doi.org/10.1016/j.jtcvs.2013.09.022
        • Thompson M
        • Lowry A
        • Caputo F
        • et al.
        Ultra-hybrid repair: Open thoracoabdominal completion after descending stent grafting.
        Semin Thorac Cardiovasc Surg. 2022; (In press)
        • Hawkins RB
        • Mehaffey JH
        • Narahari AK
        • et al.
        Improved outcomes and value in staged hybrid extent II thoracoabdominal aortic aneurysm repair.
        J Vasc Surg. 2017; 66: 1357-1363https://doi.org/10.1016/j.jvs.2017.03.420
        • Alhussaini M
        • Falasa MP
        • Jeng EI
        • et al.
        Application of deep hypothermic circulatory arrest in open left chest aortic aneurysm repair.
        J Thorac Cardiovasc Surg. 2021; https://doi.org/10.1016/j.jtcvs.2021.03.080
        • Kouchoukos NT
        • Kulik A
        • Castner CF.
        Outcomes after thoracoabdominal aortic aneurysm repair using hypothermic circulatory arrest.
        J Thorac Cardiovasc Surg. 2013; 145: S139-S141https://doi.org/10.1016/j.jtcvs.2012.11.077
        • Fehrenbacher JW
        • Siderys H
        • Terry C
        • et al.
        Early and late results of descending thoracic and thoracoabdominal aortic aneurysm open repair with deep hypothermia and circulatory arrest.
        J Thorac Cardiovasc Surg. 2010; 140 (S154-60; discussion S185-S190)https://doi.org/10.1016/j.jtcvs.2010.08.054

      Linked Article

      • Ultra-Hybrid Repair: Open Thoracoabdominal Completion After Descending Stent Grafting
        Seminars in Thoracic and Cardiovascular Surgery
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          To characterize patient risk profiles and outcomes associated with staged ultra-hybrid repair of extensive aortic disease, in which open thoracoabdominal completion was performed after thoracic stent grafting. From 1/2006 to 1/2021, 92 patients underwent open thoracoabdominal repair of chronic dissection (n=58, 63%), degenerative aneurysm (n=28, 30%), endoleak (n=4, 4.3%), or symptomatic acute type B dissection (n=2, 2.2%) after descending thoracic stent grafting (69, 75%), frozen elephant trunk (5, 5%), or both (18, 20%).
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